How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | None | $72.44 | $72.44 | $85.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $165.96 Median $691.83 Typical High $1,258.93 | Facility | None | $165.96 | $691.83 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $165.96 | Professional | None | $131.83 | $147.91 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $1,000.00 | Facility | None | $234.42 | $354.81 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $141.25 | Professional | None | $83.18 | $117.49 | $141.25 |
Health Partners Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $776.25 | Facility | None | $208.93 | $331.13 | $776.25 |
Health Partners Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | None | $112.20 | $112.20 | $117.49 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $141.25 Typical High $208.93 | Facility | None | $36.31 | $141.25 | $208.93 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $63.10 Typical High $630.96 | Professional | None | $20.89 | $63.10 | $630.96 |
United Setting Professional Modifier None Typical Low $20.89 Median $53.70 Typical High $177.83 | Professional | None | $20.89 | $53.70 | $177.83 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | 55 · Aftercare only | $10.72 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 56 · Pre-op care only | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | 52 · Reduced service | $35.48 | $35.48 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | 53 · Discontinued | $14.45 | $14.45 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $12.59 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $8.51 |
Where Minnesota sits
The same service costs 5.0 times more in Ohio than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 4th of 51
$117
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.